Focused hx/exam [S] + imaging

By vgreene, 27 January, 2015
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<sup>1</sup> Tibial n. controls ankle plantar flexion, toe flexion, provides foot sole sensation. Peroneal n. controls ankle dorsiflexion, toe extension, provides shin/top of foot sensation. <br><br>
<sup>2</sup> Lachman: w/ pt supine, knee flexed @ 20° to 30°, place 1 hand behind tibia (thumb on tibial tuberosity), other on pt’s thigh. Pull anteriorly on tibia to assess ACL injury: >10 mm ant. mvmt or >2 mm more ant. mvmt than CL knee suggests ACL tear.
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<sup>3</sup> Laxity definition >5-7 mm increased laxity of IL vs. CL knee on KT-1000 (quantifies ant. translation of knee w/ joint flexed between 20° to 30°); normal knees have ≤3 mm laxity difference between sides.
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<sup>4</sup> Active: variably defined as >50-199 h jumping and/or cutting sports/year.
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<sup>5</sup> Autografts may be preferred over allografts in the young, active population. Patellar tendon bone-to-bone and hamstring-tendon autograft techniques both recommended.
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<sup>6</sup> NM training: eg, plyometrics, strengthening, instructor feedback component; often coach-led.
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<sup>7</sup> Early, accelerated, and nonaccelerated PT programs recommended.
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